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Original Article
Analyzing decline in quality of life by examining employment status changes of occupationally injured workers post medical care
Won-Tae Lee, Sung-Shil Lim, Min-Seok Kim, Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
Ann Occup Environ Med 2022;34:e17.   Published online July 18, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e17
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

This study aimed to investigate the decline in quality of life (QOL) by examining changes in the employment status of workers who had completed medical treatment after an industrial accident.

Methods

This study utilized the Panel Study of Worker’s Compensation Insurance cohort (published in October 2020) containing a sample survey of 3,294 occupationally injured workers who completed medical care in 2017. We divided this population into four groups according to changes in working status. A multivariate logistic regression model was utilized for evaluating QOL decline by adjusting for the basic characteristics and working environment at the time of accident. Subgroup analysis evaluated whether QOL decline differed according to disability grade and industry group.

Results

The QOL decline in the “maintained employment,” “employed to unemployed,” “remained unemployed,” and “unemployed to employed” groups were 15.3%, 28.1%, 20.2%, and 11.9%, respectively. The “maintained employment” group provided a reference. As a result of adjusting for the socioeconomic status and working environment, the odds ratios (ORs) of QOL decline for the “employed to unemployed” group and the “remained unemployed” group were 2.13 (95% confidence interval [CI], 1.51–3.01) and 1.47 (95% CI, 1.13–1.90), respectively. The “unemployed to employed” group had a non-significant OR of 0.76 (95% CI, 0.54–1.07).

Conclusions

This study revealed that continuous unemployment or unstable employment negatively affected industrially injured workers’ QOL. Policy researchers and relevant ministries should further develop and improve “return to work” programs that could maintain decent employment avenues within the workers’ compensation system.

한국 산업재해 근로자의 요양 종료 후 고용상태의 변화와 삶의 질 저하와의 관계 분석
목적
산업재해 근로자의 요양 이후 직업 복귀와 삶의 질에 대한 사안은 이전부터 큰 사회적 관심사였다. 하지만 요양 종결 이후의 경제활동상태의 종적인 변화와 삶의 질과 연관시킨 연구는 거의 없다. 본 연구는 산업재해 후 요양을 마친 근로자의 고용상태 변화를 조사하여 삶의 질(QOL) 저하를 조사하는 것을 목적으로 하였다.
방법
본 연구는 2017년에 요양을 마친 3,294명의 산업재해 근로자를 대상으로 한 산재보험패널조사의 자료를 활용하였다. 우리는 이 산재노동자 인구를 근로 상태의 변화에 따라 ”고용 상태 유지”, ”고용에서 미취업 상태”, ”미취업 상태 유지” 및 ”미취업에서 고용 상태”의 4개 그룹으로 나누었다. 다변량 로지스틱 회귀모형은 기본 특성과 산업재해 당시의 작업환경을 보정하여 삶의 질 저하를 평가하는데 활용하였다. 하위집단 분석은 장애등급과 산업군에 따라 삶의 질 저하가 다른 지를 평가하였다.
결과
“고용 상태 유지”, ”고용에서 미취업 상태”, ”미취업 상태 유지” 및 ”미취업에서 고용 상태” 그룹의 삶의 질 감소 비율은 각각 15.3%, 28.1%, 20.2%, 그리고 11.9%이었다. 고용 상태를 유지한 그룹을 기준으로 하였을 때 사회경제적 상태와 근로환경을 보정한 결과 “고용에서 미취업 상태” 집단과 “미취업 상태 유지” 집단의 삶의 질 하락의 오즈비는 2.13 (95% 신뢰구간: 1.51–3.01)과 1.47로 분석되었다. (95% 신뢰구간: 1.13–1.90). "미취업에서 고용 상태" 그룹은 유의하지 않은 오즈비 0.76(95% 신뢰구간: 0.54–1.07)을 가졌다.
결론
본 연구에서는 지속적인 실업과 불안정한 고용이 산업재해 근로자의 삶의 질에 부정적인 영향을 미치는 것으로 나타났다. 또한 높은 장해등급, 건설업종의 경우 위험성이 더 높다. 정책 연구자와 관련 부처는 산업재해 보상 시스템 내에서 적절한 고용 수단을 유지할 수 있는 프로그램의 개발 노력이 필요함을 시사한다.

Citations

Citations to this article as recorded by  
  • Work Performance Among Workers without Disabilities after Industrial Accidents: A Longitudinal Study
    Chong Min Hong
    The Open Public Health Journal.2024;[Epub]     CrossRef
  • Self-Esteem Trajectories After Occupational Injuries and Diseases and Their Relation to Changes in Subjective Health: Result From the Panel Study of Workers’ Compensation Insurance (PSWCI)
    Seong-Uk Baek, Won-Tae Lee, Min-Seok Kim, Myeong-Hun Lim, Jin-Ha Yoon, Jong-Uk Won
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Macro Aspect of Quality of Life Can Be Affected by Occupational Accidents, a Macro Vision for Managers
    Farahnaz Khajehnasiri, Vida Zaroushani
    Journal of Occupational Health and Epidemiology.2023; 12(3): 130.     CrossRef
  • Prevalence and Consequences of Verbal Aggression among Bank Workers: A Survey into an Italian Banking Institution
    Daniela Acquadro Maran, Antonella Varetto, Cristina Civilotti, Nicola Magnavita
    Administrative Sciences.2022; 12(3): 78.     CrossRef
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Original Article
Mental health symptoms among dependent contractors in Korea: a cross-sectional study based on the Fifth Korean Working Condition Survey
Seong-Uk Baek, Sung-Shil Lim, Sehyun Yun, Won-Tae Lee, Min-Seok Kim, Jin-Ha Yoon, Jong-Uk Won
Ann Occup Environ Med 2022;34:e1.   Published online February 10, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e1
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

Recently, there has been a call to improve the holistic welfare of dependent contractors (DCs). Thus, our study examined the relationship between DCs and mental health symptoms and how this relationship was modified by age, sex, and income status of workers.

Methods

A total of 27,980 workers from the Fifth Korean Working Conditions Survey are included in our study. The participants who reported having depression or anxiety over the last 12 months are defined those who had mental health symptoms. We performed exact matching for age group and sex, followed by conditional logistic regression with survey weights. Finally, stratified analyses by age, sex and income level were conducted.

Results

DCs were found to be at increased risk of depression/anxiety compared to other workers. The odds ratio (OR) is 1.52 (95% confidence interval [CI]: 1.06–2.17). In the stratified analyses, vulnerable groups were middle-aged (OR [95% CI]: 1.68 [1.10–2.54]), female (OR [95% CI]: 1.85 [1.20–2.84]), and low-income (OR [95% CI]: 3.18 [1.77–5.73]) workers.

Conclusions

Our study's results reinforce those of other studies that show that DCs are at greater risk of experiencing mental health issues than other workers and that and this risk is greater for middle-aged, female, and low-income workers. These results suggest that appropriate policy efforts should be made to improve the psychological well-being of DCs.

한국의 특수형태근로종사자의 정신건강증상: 제5차 한국근로실태조사에 근거한 단면 연구
목적
최근 특수형태근로종사자의 법적 지위와 근로환경에 대한 사회적 관심이 증가하고 있다. 우리의 연구 목표는 특수형태근로종사자와 정신 건강 증상 사이의 관계를 조사하며,이 관계가 근로자의 연령, 성별 및 소득수준에 따라 구분된 층화 그룹에 따라 어떻게 변화되는지를 조사하는 것이다.
방법
본 연구에는 제5차 한국 근로 환경 조사의 총 27,980명의 임금근로자가 포함되었다. 정신건강증상을 가진 근로자는 지난 12개월 이내 우울증 혹은 불안감으로 인한 건강장애를 경험했다고 대답한 근로자로 정의되었다. 참여 근로자를 연령 그룹과 성별에 따라 매칭하였으며, 설문 조사 가중치를 사용한 조건부 로지스틱 회귀를 수행하여 분석하였다. 연령, 성별, 소득수준에 따라 그룹별로 층화분석이 추가적으로 진행되었다.
결과
특수형태근로종사자로서의 지위는 정신 건강 증상의 위험 증가와 관련이 있었다 (오즈비 1.52, 95% 신뢰구간: 1.06-2.17). 층화분석에서 취약 그룹은 40대와 50대의 중년 (오즈비 1.68, 95% 신뢰구간: 1.10-2.54), 여성 (오즈비 1.85, 95% 신뢰구간: 1.20-2.84) 및 저소득층 (오즈비 3.18, 95% 신뢰구간: 1.77-5.73)에 속하는 근로자로 분석되었다.
결론
우리의 연구는 특수형태근로자로서 일하는 것이 그 자체로 불안감이나 우울감과 관련이 있다는 이전 연구 결과를 재확인하였다. 또한 중장년층, 여성, 저소득층에서 그 영향이 더 크다는 사실도 처음으로 밝혀냈다. 본 연구는 특수형태근로종사자의 정신 건강을 보호하기 위한 적절한 정책적 노력이 필요함을 시사한다.

Citations

Citations to this article as recorded by  
  • Association between precarious employment and the onset of depressive symptoms in men and women: a 13-year longitudinal analysis in Korea (2009–2022)
    Seong-Uk Baek, Jong-Uk Won, Yu-Min Lee, Jin-Ha Yoon
    Epidemiology and Psychiatric Sciences.2024;[Epub]     CrossRef
  • Temporary Employment Is Associated with Poor Dietary Quality in Middle-Aged Workers in Korea: A Nationwide Study Based on the Korean Healthy Eating Index, 2013–2021
    Seong-Uk Baek, Myeong-Hun Lim, Yu-Min Lee, Jong-Uk Won, Jin-Ha Yoon
    Nutrients.2024; 16(10): 1482.     CrossRef
  • Association of precarious employment with depressive symptoms and suicidal ideation among female workers: Findings from a nationwide longitudinal study in Korea
    Seong-Uk Baek, Yu-Min Lee, Jin-Ha Yoon
    Journal of Affective Disorders.2024; 351: 931.     CrossRef
  • Characteristics and Socio-Demographic Distribution of Precarious Employment Among Korean Wage Workers: A Proposition of Multidimensional Approach Using a Summative Score
    Seong-Uk Baek, Min-Seok Kim, Myeong-Hun Lim, Taeyeon Kim, Jin-Ha Yoon, Jong-Uk Won
    Safety and Health at Work.2023; 14(4): 476.     CrossRef
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Research Article
Depressive symptoms among dance artists in South Korea: balance between self- and social identity on job value
Sung-Shil Lim, Jihyun Kim, Seahee Yune, Jin-Ha Yoon
Ann Occup Environ Med 2019;31:e14.   Published online July 31, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e14
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

The balance between self- and social identity on job value of Korean dance artists, considered as performing artists, was measured to investigate the relationship between balance and depressive symptoms.

Methods

Data of 139 dance artists were analyzed for depressive symptoms assessed by their responses to questionnaires from the Center for Epidemiologic Studies Depression (CESD) translated into Korean. The balance score of each aspect of social identity compared to that of self-identity on job value was measured and classified as lower, equal, or higher. Following a graphical approach, we performed locally weighted scatterplot smoothing algorithm, simple linear regression, and quadric equation regression.

Results

The mean of CESD was highest in the higher balance group and lowest in the lower balance group. There was a linear relationship between balance score and CESD regarding specific audience, unspecified audience, and unspecified public. Balance score showed no association with other aspects of social identity. In the balance score range of 1 or higher, it was associated with CESD with respect to artist colleague, unspecified audience, and unspecified public.

Conclusions

Dance artists should maintain a balance between self- and social identity in job value to prevent depressive symptoms.


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Research Article
The role of customer service manual on workplace emotional burden in nationwide cross sectional study
Sehyun Yun, Sung-Shil Lim, Jihyun Kim, Young-Kwang Kim, Jong-Uk Won, Jin-Ha Yoon
Ann Occup Environ Med 2019;31:5.   Published online February 12, 2019
DOI: https://doi.org/10.1186/s40557-019-0285-9
AbstractAbstract PDFPubReaderePub
Background

We aim to discuss the overall effect of customer service manual (CSM) on service industry workers using Korean Working Condition Survey.

Methods

Out of 50,007 total survey participants, 11,946 customer service workers were included in the current study (5613 men, 6333 women). Answers to survey questions were used to define the use of CSM, emotional burden, emotional dissonance, engaging angry customers and other covariates. Emotional burden included either depressive event or stress level. Odds ratio (OR) with 95% confidence interval (95% CI) of experiencing emotional burden was calculated by logistic regression model. Interaction effect between CSM and engaging angry customer on emotional burden was also estimated.

Results

Out of 11,946 subjects, total of 3279 (27.4%) have experienced emotional burden. OR (95% CI) of experiencing emotional burden was 1.40 (1.19–1.64) in men and 1.25 (1.09–1.44) in women. There was gender difference in interaction effect between the use of CSM and engaging angry customers. In men, OR (95% CI) was 3.16 (1.38–7.23) with additive effect when always engaging angry customers with CSM compared to rarely engaging without CSM, while in women OR (95% CI) was 8.85 (3.96–19.75) with synergistic effect. Moreover, the risk of depressive event increased only in women with OR (95% CI) 2.22 (1.42–3.48).

Conclusions

Our current study highlighted association between emotional burden and CSM in both men and women service workers. Furthermore, women were affected more severely by CSM. The results from current study suggest that CSM should be changed appropriately to benefit workers.


Citations

Citations to this article as recorded by  
  • Emotional Burden of Care in Mothers of Children with Cerebral Palsy: Functional Dependency, Emotional Intelligence, and Coping Strategies
    Eliana Ruetti, Sofia Pirotti
    International Journal of Disability, Development and Education.2024; : 1.     CrossRef
  • Nurses’ perception of uncertainty in clinical decision-making: A qualitative study
    Mitra Mousavi Shabestari, Faranak Jabbarzadeh Tabrizi, Fariborz Roshangar, Akram Ghahramanian, Vahid Zamanzadeh, Parvin Sarbakhsh, David A. Agom
    Heliyon.2024; 10(16): e36228.     CrossRef
  • Addressing Financial Inclusion Challenges in Rural Areas from the Financial Services Marketing Employee Emotional Labor Dimension: Evidence from Nigeria
    Benedict Ogbemudia Imhanrenialena, Ozioma Happiness Obi-Anike, Chikodili Nkiruka Okafor, Ruby Nneka Ike, Chinedu Obiora-Okafo
    Journal of Financial Services Marketing.2022; 27(2): 136.     CrossRef
  • The Burnout Syndrome among Women Working in the Retail Network in Associations with Psychosocial Work Environment Factors
    Gintarė Kalinienė, Dalia Lukšienė, Rūta Ustinavičienė, Lina Škėmienė, Vidmantas Januškevičius
    International Journal of Environmental Research and Public Health.2021; 18(11): 5603.     CrossRef
  • Factors that Affect Depression and Anxiety in Service and Sales Workers Who Interact With Angry Clients
    Jungsun Park, Yangho Kim
    Safety and Health at Work.2021; 12(2): 217.     CrossRef
  • Irregular Work Hours and the Risk of Sleep Disturbance Among Korean Service Workers Required to Suppress Emotion
    Sehyun Yun, Minsuk Kim, Won-Tae Lee, Jin-Ha Yoon, Jong-Uk Won
    International Journal of Environmental Research and Public Health.2021; 18(4): 1517.     CrossRef
  • Effects of Emotional Labor Factors and Working Environment on the Risk of Depression in Pink-Collar Workers
    Hae-ryoung Chun, Inhyung Cho, Youngeun Choi, Sung-il Cho
    International Journal of Environmental Research and Public Health.2020; 17(14): 5208.     CrossRef
  • Combined effect of emotional labor and job insecurity on sleep disturbance among customer service workers
    Sunguk Choi, Kwon Ko, Jae Bum Park, Kyung-Jong Lee, Seungho Lee, Inchul Jeong
    Annals of Occupational and Environmental Medicine.2020;[Epub]     CrossRef
  • “Woulda, Coulda, Shoulda”. Workers’ Proactivity in the Association between Emotional Demands and Mental Health
    Greta Mazzetti, Silvia Simbula, Chiara Panari, Dina Guglielmi, Alessio Paolucci
    International Journal of Environmental Research and Public Health.2019; 16(18): 3309.     CrossRef
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Research Article
Differences in the performance of health officers at the workplace according to their qualifications
Yeong-Kwang Kim, Jin-Ha Yoon, Wanhyung Lee, Jihyun Kim, Sung-Shil Lim, Jong-Uk Won
Ann Occup Environ Med 2018;30:35.   Published online May 30, 2018
DOI: https://doi.org/10.1186/s40557-018-0246-8
AbstractAbstract PDFPubReaderePub
Background

Health officers are an integral part of the occupational health service, and there have been studies to identify and improve the role of health officers in the workplace in order to improve the level of health care in the workplace. This study aimed to determine the contribution of health officers to the role of a health officer as prescribed by law and the percentage of health management work performed during work according to their qualifications.

Methods

Questionnaires were distributed to a total of 4584 workplaces where health officers were hired, and a total of 806 copies (17.58%) were returned. Of these, 336 questionnaires were finally analyzed, after excluding questionnaires missing the main variables. Using the data, the difference of role contributions and the percentage of health care work performed during the whole day according to the qualification of the health officer was analyzed.

Results

Nurses were highly rated in the field of medical care, and industrial hygienists and air environmental engineers were highly rated in terms of chemicals and risk factor management. The percentage of health care work performed during the whole day differed according to the size of the workplace and industrial classification, but it was generally the lowest among air environmental engineers.

Conclusions

Health officers play a very different role in the workplace depending on their qualification, and they need support for areas of other qualification. In order to effectively manage the health of the staff at a workplace, it is necessary to consider the development of a support system for small- and medium-sized enterprises and adjust the conditions of employment of the health officer according to the law.


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